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重症患者是否能够应用选择性消化道去污染？ 被引量：1

Uncertainties Page Should selective digestive decontamination be used in critically ill patients？
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摘要 卫生保健相关感染对重症患者是一个巨大的负担；健康保护局进行的一项最新的时点现况调查发现，23．4％的重症监护室患者有卫生保健相关感染的证据。呼吸机相关肺炎仍然是这类人群医院内感染的主要病因，虽然最近证实相关病死率（5％～10％）较以往减低，但是住院时间和治疗费用明显增加。目前认为肠道细菌的口咽部定植是呼吸机相关肺炎发展中的一个重要环节，这为口咽部去污染的干预措施提供了可能的部位。
作者 Andrew P Walden Marc J Bonten Matt P Wise 苏玲玲 曹彬
机构地区 Intensive Care Medicine University Medical Centre University Hospital cf Wales 首都医科大学附属北京朝阳医院感染和临床微生物科
出处 《英国医学杂志中文版》 2013年第3期185-187,共3页 The BMJ Chinese Edition
关键词 选择性消化道去污染 重症患者 呼吸机相关肺炎 应用 口咽部去污染 相关感染 卫生保健 重症监护室
分类号 R459.7 [医药卫生—急诊医学]
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参考文献15

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同被引文献18

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  • 3Gastinne H, Wolff M, Delatour F, et al. A controlled trial in intensive care units of selective decontamination of the diges- tive tract with nonabsorbable antibioticsEJ~. N Engl J Med, 1992, 326(9) :594- 599.
  • 4Hammond JM, Potgieter PD, Saunders GL, et al. Double- blind study of selective decontamination of the digestive tract in intensive care[J]. Lancet, 1992, 340(8810) :5 - 9.
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  • 7Rocha LA, Martin MJ, Pita S, et al. Prevention of nosocomi- al infection in critically ill patients by selective decontamination of digestive tract. A randomized, double blind, placebo-con trolled study EJ]. Intensive Care Med, 1992, 18 (7).. 398 - 404.
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英国医学杂志中文版
2013年 第3期

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